Individualized Care for At Risk Older Adults

在可预见的未来，解决日益增长的老年人口的复杂健康和社会需求 患有多种慢性病(MCC)的成年人和支持他们的家庭照顾者，特别是在 健康方面的频繁过渡，是一个社会优先事项。这本T32，针对高危老年人的个性化护理， 总部设在宾夕法尼亚大学护理学院(SON)，那里有老龄化和过渡期的专业知识 护理研究是我们教员的标志，是专门为准备解决这一问题的护士学者而设计的 挑战。自2007年以来，该项目已成功培养了15名博士毕业生和13名博士后研究员 他们现在正在追求成功的学术生涯，并推动与健康和医疗保健相关的科学 老年人的转变。这项由两名经验丰富的护士科学家领导的更新提议得到了支持 由九名额外的核心教员和八名附属教职人员组成，并辅以研究项目。我们的 强调团队科学是通过来自宾夕法尼亚大学25名跨专业教师的联合指导培训来实现的 护理以外的工作。在AHRQ多种慢性病研究网络概念模型的指导下， 我们的培训计划将培养每年任命的四名博士后和四名博士后护士科学家 拥有以下技能和知识：1)促进与频繁和复杂的过渡的影响有关的科学 关于患有MCC的老年人及其家庭照顾者的保健和保健，特别强调 护士的角色；2)使用团队科学，以最高标准的严谨和正直进行研究 方法，并采用当代和新兴的研究设计和方法；以及3)执行 综合、传播、实施和翻译旨在提供信息和改进的研究成果 卫生保健实践和政策。这一更新建立在我们的成功基础上，并响应动态 人口、研究和卫生保健系统通过创新的计划修改而改变。具体来说， 这一更新扩大了该计划对慢性病老年人护理的重视，使其专注于综合体 日益增长的老年多种慢性病患者的健康和社会需求 家庭照顾者。此外，我们强调对不同的、易受伤害的老年群体的纵向照顾。 在多个健康过渡期间患有MCC的成年人。我们加强了目前在研究方法方面的培训 包括：(A)具有更强翻译潜力的更广泛的设计；(B)先进的数据科学；(C) 复杂的定性和混合方法；(D)对结果的严格衡量。目前关注的是 个别研究结果的传播延伸到对知识综合的更有力的关注， 实施和翻译。致力于提供丰富的科学基础、资源和网络 教师导师为这项培训提供了良好的基础和环境。建立在我们之前的基础上 成功，我们将培养出准备贡献科学进步的护士科学家和领导人 对患有MCC的老年人及其家庭照顾者的护理和结果产生重大、积极的影响。

For the foreseeable future, addressing the complex health and social needs of the growing population of older adults with multiple chronic conditions (MCCs) and supporting their family caregivers, especially during frequent transitions in health, is a societal priority. This T32, Individualized Care for At-Risk Older Adults, based at the University of Pennsylvania School of Nursing (SON) where expertise in aging and transitional care research are hallmarks of our faculty, is uniquely designed to prepare nurse scholars who will address this challenge. Since 2007, this program has successfully prepared 15 PhD graduates and 13 postdoctoral fellows who are now pursuing successful scholarly careers and advancing science related to health and health care transitions of older adults. This proposed renewal, led by two highly experienced nurse scientists is supported by nine additional core and eight associated faculty in the SON with complementary programs of research. Our emphasis on team science is actualized with co-mentored training from 25 interprofessional Penn faculty external to nursing. Guided by the AHRQ Multiple Chronic Conditions Research Network's conceptual model, our training program will prepare four predoctoral and four postdoctoral nurse scientists appointed annually with the skills and knowledge to: 1) advance science related to the impact of frequent and complex transitions in health and health care on older adults with MCCs and their family caregivers, with particular emphasis on the role of nurses; 2) conduct research with the highest standards of rigor and integrity, using a team science approach, and employing contemporary and emerging research designs and methodologies; and 3) perform synthesis, dissemination, implementation and translation of research findings designed to inform and improve health care practices and policies. This renewal builds on our success and is responsive to dynamic population, research, and health care system changes through innovative program modifications. Specifically, this renewal expands the program's emphasis on care of chronically ill older adults to focus on the complex health and social needs of the growing population of older adults with multiple chronic conditions and their family caregivers. Further, we emphasize the longitudinal care of diverse and vulnerable subgroups of older adults with MCCs throughout multiple health transitions. We enhance our current training in research methods to include: (a) a broader range of designs with enhanced translational potential; (b) advanced data science; (c) sophisticated qualitative and mixed methods; and, (d) rigorous measurement of outcomes. Current attention to dissemination of individual study findings extends to a more robust focus on knowledge synthesis, implementation, and translation. The rich scientific base, resources and networks contributed by committed faculty mentors provide an excellent foundation and environment for this training grant. Building on our prior success, we will produce nurse scientists and leaders prepared to contribute scientific advances designed to have a major, positive impact on the care and outcomes of older adults with MCCs and their family caregivers.